10 April 2017
During a routine inspection
A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People and a representative we spoke with told us they thought the service ensured that people received safe personal care. Staff had been trained in safeguarding (protecting people from abuse) and staff understood their responsibilities in this area.
Risk assessments were not comprehensively in place to protect people from risks to their health and welfare. Staff recruitment checks were, in the main, in place to protect people from receiving personal care from unsuitable staff.
Staff had received training to ensure they had skills and knowledge to meet people's needs. Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA) to ensure people had effective choices about how they lived their lives.
People and a representative we spoke with all told us that staff were friendly, kind, positive and caring. They said they had been involved in making decisions about how and the type of what personal care was delivered to they needed to meet care needs.
Care plans were individual to the people using the service and were in place to ensure that their needs were met, though they did not include all relevant information such as people's past histories.
People and a representative told us they would tell staff or management if they had any concerns, and they were confident these would be properly followed up.
People and their relatives were satisfied with how the service was run. Staff felt they were supported in their work by the registered manager. Management carried out audits in order to check that the service was meeting people's needs and to try to ensure people were provided with a proper service, though more areas needed to be reviewed to ensure people were always provided with a comprehensive quality service.